Printer's Island Employment Application

Employment Application

It is Cells-U-More, Inc.'s policy to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental handicap or veteran status.

Note: field names in red indicate that the field is required.

Name

Last: First: Middle:
Today's date: / /

Address and Contact Info:

Street Address:
City: State: Zip:
Primary phone: ( )
Secondary phone: ( )

Position applying for

Please choose the store(s) you are interested in:

Duncan Wichita Falls

How did you hear about this opening?

When can you start? / /
Desired Wage $

Are you looking for full-time employment?
Yes No
If no, what hours are you available?

Are you 18 years or older?
Yes No

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?
Yes No

Besides English, do you speak another language?
Yes No
If yes, what language?

Have you ever been convicted of a felony? Yes No
If yes, please fully describe the circumstances:

Educational History

High school name and location:

Year Graduated: Diploma GED

College name and location:

Year Graduated: Degree:

Other relevant training or education:

Employment History

Start with current or most recent employer.

Company name:
Address: Telephone: ( )
Date Started: /
Start Position: Wage: $
Date Ended: /
End Position: Wage: $
Supervisor: May we contact? Yes No
Responsibilities:

Reason for leaving:

In addition to your work history, are there are other skills, qualifications, or experience we should consider?

Employee Agreement

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed by Cells-U-More, false statements on this application shall be considered sufficient cause for dismissal. Cells-U-More is hereby authorized to make any investigations of my prior educational and employment history.

I further understand that employment at Cells-U-More is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of Cells-U-More, other than the owner, has the authority to alter the forgoing.

I further acknowledge that I may be asked to consent to a drug screening before or during my employment with Cells-U-More, Inc.

Initals:
Date: / /